Federal inspection record · CMS data as of October 1, 2026
Brooklyn Community Estates
406 North Street, Brooklyn, IA · (641) 522-9263
- CMS high-performer trophy
- Certified beds
- 50
- Residents per day
- 42
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 2009
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Brooklyn Community Estates carries 3 inspection points. That is fewer than 96% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
1 health citations on record since 2026. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care1D
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspection history
2026-05-28
1 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2025-05-07
0 health deficiencies · 4 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-08-01
0 health deficiencies · 5 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 35 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 24% of nursing staff and 17% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 0.7 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts better | 0.5 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine18.5 pts worse | 75.7% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.3 pts better | 0.6% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts better | 3.8% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.4 pts better | 20.6% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.2 pts better | 6.6% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.4 pts worse | 24.6% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.3 pts worse | 20.9% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.6% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts better | 0.6% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.6 pts better | 21.4% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts better | 1.4% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.5 pts worse | 79.5% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
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Who owns and runs it
30 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sissel, Shane | 5% Or Greater Direct Ownership Interest · Individual | 67% | 2 facilities |
| Sissel, Susan | 5% Or Greater Direct Ownership Interest · Individual | 33% | 2 facilities |
| Access Technologies Inc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Bakerstarrett Llp | Adp Of The SNF · Organization | 0% | 2 facilities |
| Bcg Holdings Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Cattail Bcg LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cattail Inc | Adp Of The SNF · Organization | 0% | 50 facilities |
| Devilder, Andrea | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ecsi Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Hall, Robert | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Heineman, Brian | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Heineman, Brian | Adp Of The SNF · Individual | 0% | 3 facilities |
| Iowa Health Care Association | Adp Of The SNF · Organization | 0% | 50 facilities |
| J Evans Nutrition Consulting LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Kasal, Christina | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Key Rehabilitation Inc | Adp Of The SNF · Organization | 0% | 17 facilities |
| Keystone Savings Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 2 facilities |
| Keystone Savings Bank | Adp Of The SNF · Organization | 0% | 2 facilities |
| Kirkpatrick, Leslie | Corporate Officer · Individual | 0% | 1 facilities |
| Pm Acquisition LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Sanchez-Granados, Lisa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schafbuch, Tiffany | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Senescence Solutions Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Sissel, Shane | Corporate Director · Individual | 0% | 2 facilities |
| Sissel, Shane | Corporate Officer · Individual | 0% | 2 facilities |
| Sissel, Shane | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Sissel, Shane | Adp Of The SNF · Individual | 0% | 2 facilities |
| Sissel, Susan | Corporate Officer · Individual | 0% | 2 facilities |
| Sissel, Susan | Adp Of The SNF · Individual | 0% | 2 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly provide smoke detection systems in areas open to corridors.
- E
Install corridor and hallway doors that block smoke.
- F
Install a fire alarm system that can be heard throughout the facility.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
Emergency Preparedness2F
- F
Develop Emergency Preparedness policies and procedures.
- F
Address subsistence needs for staff and patients.
Egress1E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
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Other homes nearby
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Montezuma Specialty Care
Montezuma, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 13 min
- Fines
- $0
-
St Francis Manor
Grinnell, IA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 45 min
- Fines
- $0
-
Belle Plaine Specialty Care
Belle Plaine, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 51 min
- Fines
- $0